The Centers for Disease Control and Prevention, in a 2014 study, report 259,000 preventable deaths each year. The study examined the top five leading causes of death - heart disease, cancer, chronic lower respiratory diseases, strokes, and unintentional injuries - that account for two-thirds of all deaths every year. The rates for these preventable deaths varied enormously across states. Where an individual lives in the United States has a direct effect on their health and, ultimately, their life span. The CDC made several recommendations to states to decrease the number of preventable deaths.